Miscarriage stories of loss, hope and help. It's always devastating to experience a loss. It can cause you to feel alone, isolated. There's no 'right' way to feel - a range of reactions are possible and normal. In addition to the grief you may feel, your body will be undergoing some profound hormonal adjustments, which may make you feel very emotionally volatile. If you have had a miscarriage, take the time to understand better why these occur and why it is not your fault.

However, no studies have exclusively investigated the miscarriage risk among women without symptoms, such as vaginal bleeding or lower abdominal pain, Dr. Stephen Tong, from Monash University in Victoria, and colleagues point out.

Tong's group conducted a study with 696 asymptomatic women carrying one fetus who attended their first prenatal visit between six and 11 weeks of pregnancy. Ultrasound exams documented fetal cardiac activity.

Eleven patients (1.6 per cent) had a miscarriage before 20 weeks. The risk was relatively high at 9.4 per cent among the women who were six weeks pregnancy, falling to 1.5 per cent among those who were eight-weeks pregnant, and less than 0.7 per cent from nine weeks onward.

The study was conducted in a regular prenatal clinic, "not a specialized early pregnancy clinic or an ultrasound department," Tong's group points out, and none of the attending physicians who performed the initial ultrasonography had any formal subspecialty qualifications.

"Consequently, we believe that our data could be extrapolated generally to health care providers provided that they are able to offer office ultrasonography to confirm viability at that visit," the team surmises.

Ford's group concludes that, for asymptomatic women who have their first prenatal visit between eight and 11 weeks of pregnancy and do not have pregnancy risk factors, "our data may be useful as a counseling tool to reassure such women at the end of their first prenatal visit that their risk of loss is already very low."

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